Individual
JEREMY LEE BRICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1481 WEST 10TH STREET, RICHARD L. ROUDEBUSH VA MEDICAL CENTER, INDIANAPOLIS, IN 46202
(317) 988-4699
(317) 988-3163
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01066264A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
01066264A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300063703
—
IN
Enumeration date
07/16/2008
Last updated
05/19/2025
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